NPI | 1427003771 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 240) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WV 240) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WV 240) | |
101YM0800X Counselor, Mental Health (Licence: WV 240) | |
101YP1600X Counselor, Pastoral (Licence: WV 240) | |
101YP2500X Counselor, Professional (Licence: OH E.1901384) | |
Enumeration Date | 2006-05-24 |
Last Update Date | 2023-11-03 |